Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LIN MA DDS INC

NPI: 1720378607 · WEST COVINA, CA 91790 · General Practice Dentistry · NPI assigned 04/13/2011

$8K
Total Medicaid Paid
789
Total Claims
265
Beneficiaries
5
Codes Billed
2019-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNORIEGA, ROSA (OFFICE MANAGER)
Parent OrganizationLIN MA DDS INC
NPI Enumeration Date04/13/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $1K
2021 134 $854.10
2022 162 $915.45
2023 246 $2K
2024 222 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 655 131 $3K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $2K
D0210 Intraoral - complete series of radiographic images 27 27 $1K
D0120 Periodic oral evaluation - established patient 25 25 $1K
D0272 Bitewings - two radiographic images 53 53 $636.00